Festoon Treatment
This 59-year-old patient traveled all the way from the UK to seek expert treatment for severe festoons. Festoons, or malar mounds, can create a persistent swollen appearance under the eyes, often resistant to conventional treatments. Using his advanced surgical expertise, Dr. Kass meticulously addressed the festoons, resulting in a smoother, more youthful, and natural-looking transformation. The remarkable improvement in the patient’s under-eye area highlights the precision and effectiveness of Dr. Kass’s approach, restoring confidence and rejuvenation.


This patient came to see Dr. Kass complaining that when at work she felt that everyone was staring at the bags under her eyes. Dr. Kass explained that in addition to eye bags she had a condition known as festoons. He explained that to treat the eye bags without treating the festoons would leave her looking worse than before surgery. She elected to proceed with bilateral lower eyelid surgery and festoon treatments along with a full face Croton Oil / Hetter Facial Peel Procedure. She demonstrates a near perfect result from these combined procedures. Look at the difference in the lower eyelid bags and the festoons! But don’t miss the distinct improvement in the rejuvenated appearance of her cheeks! The patient thought that the surgery took years off of her appearance, and she thanks us to this day for giving her back her confidence to continue to work.




This very sweet 69-year-old patient came in complaining of bags, known as festoons, under her eyes. Although many patients, across the country, have told Dr. Kass that their plastic surgeons had said that nothing could be done for these unsightly bags, this is simply not true. Please look at these photos and decide for yourself! She received festoon treatment with under eye skin resurfacing using the Hetter Facial Resurfacing Procedure that Dr. Kass has perfected in 14 years of use. This patient was so very pleased with her results after this treatment, she is presently contemplating procedures with us.




This patient hated the appearance of his lower eyelids. After turning 66, this patient decided it was time to have his festoons removed and went to see his plastic surgeon. That doctor, recognizing the difficult nature of festoon treatment, referred the patient to Dr. Kass, knowing that there simply was no substitute to the vast training and experience of an eye and face plastic surgeon in treating this difficult area. The patient felt that his festoons made him look much older than he actually was and that it was all anyone ever looked at while speaking to him. After his consultation, the patient booked his surgery that very same day and was able to get in within 2 weeks for the procedure. At his final post-operative visit, the patient said that the results are more than he could have hoped for, and was so glad he made the decision to come see Dr. Kass!




After speaking with multiple surgeons in her home state of California, this delightful lady chose me to perform eyelid surgery and festoon repair after one consultation by phone. She was so happy with the results of her surgery, she returned one year later with her husband just so I could see how wonderful she looked.


This 61 year old doctor’s wife gave a history of bilateral cheek swelling years after receiving hyaluronic acid filler to her cheeks and tear troughs. The swelling persisted despite enzyme injections (hyaluronidase). She drove seven hours each way to see me. Here she is after a single treatment of bilateral doxycycline injection. Note the tremendous improvement in her bilateral festoons with this simple office treatment.


This 65 year old woman, about to retire, wanted to look her very best as she began the new activities of her retirement. Initially, she presented for just upper eyelid surgery. But she was so delighted with her results that, after just one week, she decided that she also wanted lower eyelid surgery (blepharoplasty), festoon treatment with localized Hetter Facial Resurfacing, and bilateral midface lifts. Here she is at just a couple of months after surgery. And there will be even greater improvement as she continues to heal!

She says she is constantly getting complimented about her eyes, and that now she faces her retirement activities with renewed vigor and self-confidence. In fact, she is even thinking about what she wants Dr. Kass to do next for her!

This 60 year old male patient wanted to address his upper and lower eye area in order to appear more rested. Dr. Kass addressed his concerns by performing lower and upper blepharoplasty, bilateral festoon treatment and an endoscopic brow lift.


Note the dramatic improvement in the appearance of the upper eyelids, lower eyelids and in the festoons in this 45 year old patient.


Besides her festoons which she wanted corrected, this lady had an obvious problem and was embarrassed by her severe tear trough deformities. At the time of her surgery, fat from the lower eyelids was transposed over the orbital rims and tear troughs to soften her appearance. To correct her damaged skin, she also had a full face Hetter Peel which greatly rejuvenated her entire appearance by softening her appearance, removing wrinkles from around her lips, and plumping her lips. No fillers were used.




This 60 year old retired policeman was unhappy with his tired, chronically angry appearance, and with the bags beneath his eyes. It’s a good thing that Dr. Kass noticed the bilateral prominent festoons at the time of his initial consultation. It is well known that lower eyelid surgery alone (blepharoplasty) will worsen the appearance of festoons. Here he is after eyelid surgery combined WITH the special festoon repair personally developed years ago by Dr. Kass. He was more than a little bit grateful for these results and has since returned for other cosmetic procedures.